![]() If you think you have nocturnal polyuria, and to help the doctor make an accurate diagnosis, it’s a good idea to keep a record of when you empty your bladder. Sleep problems or conditions, like sleep apnea.There are other conditions that may cause this disease. For example, some of them are: Also, having high levels of calcium in the blood or taking medications like diuretics can cause it. On the other hand, urinary tract infections can also increase urination at night. First, drinking liquid in the late afternoon, or drinking coffee or alcohol after dinner can lead to nocturia. For example, men with benign prostate hyperplasia may be prescribed medications that will reduce the size of the prostate, or in more serious cases, may have to undergo a Transurethral Resection of the Prostate (TURP) to surgically remove part of the prostate gland.There are a few different things that can cause this issue. If your doctor has discovered an underlying cause for your nocturia, he or she may also proceed to treat that condition in addition to your nocturia. This medication helps concentrate the urine, hence reducing urine production at night. Commonly prescribed loop diuretics are:ĭesmopressin is prescribed to patients who suffer from nocturia caused by a decrease in the production of a hormone called vasopressin. These are taken during the day to increase urination in the morning and afternoon rather than at night. Muscarinic Receptor Antagonists (MRAs) reduce abnormal contractions in the bladder, in turn, reducing the sudden need to urinate. These are drugs that minimise any abnormal bladder contractions to reduce the urge to urinate. It is generally treated with lifestyle modifications and the use of medications. Nocturia treatment varies greatly and depends on what is causing the nocturia in the first place. Cystoscopy A cystoscopy is a minimally invasive procedure whereby the urologist inserts an endoscopic tube with a lens into the bladder via the urethra in order to examine the urethra and bladder lining.Ultrasound Prostate This is generally used to check for benign prostate hyperplasia in men.In addition, this test is commonly used in conjunction with a uroflowmetry test to check for residual urine after urination. Ultrasound Bladder An ultrasound bladder can show any potential issues with the structure of the bladder and reveal any obstructions or growths.Uroflowmetry This is a test that will measure your voiding function by analysing the speed and volume of your urination.Various Blood Tests The most common of these will check your renal function, to determine whether your nocturia is caused by any potential kidney issues.Urinalysis and Urine Culture Your urine sample will be sent to a laboratory to check for the presence of any infections and blood.Bladder Diary Your doctor will most likely ask that you keep a bladder diary, which is a record of how much fluid you drink, how often you urinate, and the volume of urine produced throughout a three-day period.Some of the most common diagnostic tests used are: While diagnosing nocturia may be a simple affair, it can be much more complicated to uncover the underlying cause of the nocturia. Your urologist may also do a pelvic examination and carry out tests to rule out any heart, lung or neurological conditions if necessary Skin damage on your genitals caused by urinary incontinence.Peripheral oedema, indicated by swelling in your ankles or legs.A distended or stretched bladder as a result of not emptying completely.If necessary, your doctor may perform a physical examination as well as order various diagnostic tests to check for any underlying causes of your nocturia. Have you undergone any surgical procedures?.Are you currently taking any medications?.Have you made any changes to your diet recently?.How much caffeine and alcohol do you consume in a day?.Do you urinate in small or large volumes when you urinate at night?.How often do you wake up to urinate at night?.During your first consultation, your doctor will likely ask you about your medical history, lifestyle and your symptoms.
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